A7526
HCPCS Procedure Code
HCPCS code A7526 is the #1,088 most-billed Medicaid procedure code, with $42.0M in payments across 980K claims from 2018–2024. The national median cost per claim is $33.61. Costs vary widely — the 90th percentile is $74.87 per claim, 2.2× the median.
Total Paid
$42.0M
0.00% of all spending
Total Claims
980K
Providers
438
Avg Cost/Claim
$43
National Cost Distribution
How much do providers bill per claim for A7526? Based on 433 providers billing this code nationally.
Median
$33.61
Average
$38.81
Std Dev
$27.35
Max
$203.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.94 and $54.08 per claim for this code.
90% bill between $9.60 and $74.87.
Top 1% bill above $120.68.
About This Procedure
HCPCS code A7526 was billed by 438 providers across 980K claims, totaling $42.0M in Medicaid payments from 2018–2024. This code was used for 802K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$33.61
Providers Billing
433
National Spending
$42.0M
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A7526
| # | Provider | Total Paid |
|---|---|---|
| 1 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $3.6M |
| 2 | 1902137409 | $1.7M |
| 3 | 1861480048 | $1.3M |
| 4 | 1922103142 | $1.1M |
| 5 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $1.1M |
| 6 | 1083615991 | $904K |
| 7 | 1871738153 | $895K |
| 8 | 1912923301 | $858K |
| 9 | 1326607011 | $836K |
| 10 | 1962452755 | $820K |
| 11 | Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment | $786K |
| 12 | 1538128293 | $680K |
| 13 | 1093873598 | $678K |
| 14 | 1073680799 | $595K |
| 15 | 1073692794 | $560K |
| 16 | 1063452829 | $507K |
| 17 | 1386688414 | $504K |
| 18 | 1508885617 | $498K |
| 19 | 1174505549 | $481K |
| 20 | 1275612673 | $471K |
Showing top 20 of 438 providers billing this code